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NPI Code Detail

MEDICARE: MADELYN BARTSCH PA-C

MEDICARE: MADELYN BARTSCH PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician50.005342RXOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
150.005342RXOTHEROHPHYSICIAN ASSISTANT LICENSE

General Provider Information

NPI Number : 1952815805
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELYN BARTSCH PA-C
Provider Business Mailing Address
First Line : 500 LONDON AVE
Second Line :
City : MARYSVILLE
State : OH
Zip : 43040-5512
Country : US
Telephone Number : 937-579-7792
Fax Number :
Provider Business Practice Location Address
First Line : 1958 E US HIGHWAY 36 STE C
Second Line :
City : URBANA
State : OH
Zip : 43078-9799
Country : US
Telephone Number : 937-652-1834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2017
Last Update Date : 12/30/2020

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Directions to “ MADELYN BARTSCH PA-C” Practice Location

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